Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $12,882.50 / $35,481.34	Facility		$1,174.90	$12,882.50	$35,481.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,311.31	Facility		$1,513.56	$1,905.46	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $2,951.21	Professional		$2,570.40	$2,691.53	$2,951.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,398.83	Professional		$1,584.89	$2,089.30	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	80	$478.63	$478.63	$478.63
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	AS	$478.63	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32